Healthcare Provider Details

I. General information

NPI: 1407349202
Provider Name (Legal Business Name): A LIFE'S COMPASS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2018
Last Update Date: 06/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 MARSTON ST
NORWAY ME
04268
US

IV. Provider business mailing address

9 MARSTON ST
NORWAY ME
04268-5781
US

V. Phone/Fax

Practice location:
  • Phone: 207-595-4413
  • Fax:
Mailing address:
  • Phone: 207-595-4413
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHA733747
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License NumberMHA733747
License Number StateME

VIII. Authorized Official

Name: DR. LAURIE ANN REDFIELD
Title or Position: EXECUTIVE DIRECTOR
Credential: LCSW
Phone: 207-595-4413